Organization
NP MEDICAL CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MAHNAZ DARVISH-MAHTABFAR NP (FNP)
(201) 376-9311
Entity
Organization
Contact information
Practice address
288 GREENRIDGE RD, FRANKLIN LAKES, NJ 07417-2012
(201) 376-9311
Mailing address
288 GREENRIDGE RD, FRANKLIN LAKES, NJ 07417-2012
(201) 376-9311
Taxonomy
Speciality
Code
Description
License number
State
281P00000X
Chronic Disease Hospital
—
—
282N00000X
General Acute Care Hospital
Primary
—
—
283Q00000X
Psychiatric Hospital
—
—
3104A0625X
Assisted Living Facility (Mental Illness)
—
—
314000000X
Skilled Nursing Facility
—
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1326089673
NPI
NJ
Enumeration date
05/11/2011
Last updated
06/03/2011
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